Bronchial histamine challenge in the diagnosis of asthma. The predictive value of changes in airway resistance determined by the interrupter method.

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The predictive value of a bronchial challenge with histamine was determined in a prospective survey on a population with a high prevalence of asthma (0.62). Without knowledge of the bronchial responsiveness 133 patients were classified as asthmatics (83) or non-asthmatics (50) according to variation in peak expiratory flow rate and medical history. Response to challenge was determined by the interrupter method, and the concentration of histamine inducing a 40% increase in resistance to breathing (PC40-Rt) was calculated from the log dose response curve. When defining a positive test as a test giving PC40-Rt-values below 2.00 mg/ml, the predictive value of a positive test was 0.75 and the predictive value of a negative test was 0.72. By decreasing the limit for a positive test to 0.25 mg/ml the corresponding predictive value was increased to 0.91. When further increasing the limit to 4.00 mg/ml the predictive value of a negative test in the diagnosis of asthma was increased to 0.81. The interrupter technique is suitable for diagnostic purposes in the detection and exclusion of bronchial asthma.
Original languageEnglish
JournalAllergy. European Journal of Allergy and Clinical Immunology
Volume41
Issue number3
Pages (from-to)187-95
Number of pages8
ISSN0105-4538
Publication statusPublished - 1986

Bibliographical note

Keywords: Adolescent; Adult; Aged; Airway Resistance; Asthma; Bronchial Provocation Tests; Cross-Sectional Studies; Female; Forced Expiratory Flow Rates; Histamine; Humans; Male; Middle Aged; Pregnancy; Respiration

ID: 8440400